| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,384 |
1,345 |
$120K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
795 |
773 |
$53K |
| V2020 |
Frames, purchases |
745 |
715 |
$35K |
| 92015 |
Determination of refractive state |
2,816 |
2,707 |
$13K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
468 |
223 |
$11K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
316 |
177 |
$10K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
437 |
435 |
$3K |